- AmerisourceBergen Services Corporation (Conshohocken, PA)
- …backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver ... want to make a difference at the center of health , come join our innovative company and help us...end, ad hoc, rebate, and administration reports; requires the utilization of multiple systems and the consolidation of data… more
- AmerisourceBergen Drug Corporation (Conshohocken, PA)
- …backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver ... deliver on that purpose. If you want to make a difference at the center of health , come join our innovative company and help us improve the lives of people and… more
- CVS Health (Harrisburg, PA)
- …clinically appropriate treatment, evidence based care and clinical practice guidelines for Behavioral Health and/or medical conditions based upon program focus. ... care or outpatient clinic/facility + Active and unrestricted independent professional behavioral health clinical license to practice per state regulations… more
- CVS Health (Harrisburg, PA)
- …clinically appropriate treatment, evidence based care and clinical practice guidelines for Behavioral Health . Utilizes clinical experience and skills in a ... to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and...+ Must have active current and unrestricted Independent clinical behavioral health license in the state of… more
- CVS Health (Harrisburg, PA)
- …for Aetna. Health Services strategies, policies, and programs are comprised of utilization management , quality management , network management and ... clinical coverage and policies. **Primary Job Duties & Responsibilities:** Behavioral Health Medical Director + Collaborates with health plan Sr Leadership… more
- UPMC (Moosic, PA)
- …As Senior Medical Director, you will assure the quality and efficiency of the behavioral health care delivered to Community Care members. Incorporated in 1996, ... created by a leadership team whose clinical experiences as behavioral health providers compelled them to create...in the field. This includes significant responsibility for quality management and utilization management and… more
- Humana (Harrisburg, PA)
- …value-based care, quality metrics, population health , and disease or care management . The Behavioral Health Medical Director may develop procedures, ... part of our caring community and help us put health first** The Behavioral Health ...management , utilization management , case management , discharge planning and/or home health or… more
- CVS Health (Harrisburg, PA)
- …+ Using advanced clinical skills, performs crisis intervention with members experiencing a behavioral health or medical crisis and refers them to the appropriate ... Interviewing and good technological skills + Valid unrestricted independent professional behavioral health clinical license to practice per state regulations… more
- AmeriHealth Caritas (Harrisburg, PA)
- …products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more ... primary care team. The CCM is responsible for proving utilization management and both case and care...management , as well as supporting and coordinating the behavioral health care of members per assigned… more
- Lake Erie College of Osteopathic Medicine (Erie, PA)
- … Intervention Team (BIT). The ideal candidate should have a strong background in behavioral health management , excellent leadership skills, and a passion for ... diagnostic criteria and differential diagnoses; + Awareness of the utilization of psychological methodologies; + Ability to review the...in a leadership role within a behavioral health setting + Excellent leadership and management … more
- Lake Erie College of Osteopathic Medicine (Erie, PA)
- …Employment Status: Full-time Description JOB SUMMARY: The Director of Behavioral Health provides assessment, triage and case management to students, faculty, ... Director of Behavioral Health - College of Medicine...office hours (except when on excused absence) to address behavioral emergencies, in consultation with Risk Management … more
- St. Luke's University Health Network (Allentown, PA)
- …mental health illness. Previous experience in discharge planning and case management models preferred.Current Behavioral Health department program for ... the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in...appropriate level of care. + May assist in the utilization management of psychiatric cases in the… more
- Humana (Harrisburg, PA)
- …providing clinical services + Experience in utilization management review and case management in a health plan setting + MUST HAVE ONE OF THE FOLLOWING ... part of our caring community and help us put health first** The Behavioral Health ...a focus on collaborative business relationships, value-based care, population health , or disease or care management *… more
- Highmark Health (Pittsburgh, PA)
- **Company :** Allegheny Health Network **Job Description :** GENERAL OVERVIEW: Provides triage, referral, and counseling services for clients according to legal and ... to assess urgency of client need and recommend appropriate management . Provides on call coverage to caseload and for...strategy to ensure referral sources. + Participates in peer utilization and/or review and assists in coordination of related… more
- St. Luke's University Health Network (Sellersville, PA)
- …as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless ... of a patient's ability to pay for health care. The responsibilities of the Residential Advisor include...living skills of cooking, menu planning, grocery shopping, money management , cleaning, laundry, personal hygiene, etc. + Coach and… more
- Penn Medicine (Philadelphia, PA)
- …establish a caring, therapeutic relationship with patients and families through utilization of the principles of Relationship Based Care and effective communication. ... Experience:*And 3+ years Progressive nursing experience with demonstrated leadership and management skills We believe that the best care for our patients… more
- Highmark Health (Harrisburg, PA)
- …drug policy, therapeutic alternatives, medication adherence strategies, Medication Therapy Management , utilization management , immunizations, specialty ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This is...+ Healthcare + Care Planning + Continuous Improvement + Utilization Management + Healthcare Management … more
- Magellan Health Services (Bethlehem, PA)
- …are ongoing. Assures overall case management with the inclusion of behavioral health services when required. + Performs concurrent reviews with treatment ... other members of the clinical team, authorizes and reviews utilization of autism services, including Applied Behavioral ...services. + Performs initial case requests for autism services, behavioral health and ABA. + Reviews all… more
- Evolent Health (Harrisburg, PA)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Behavioral Health Field Medical Director will be a key member of the ... utilization management team. We can offer you...utilization management team. We can offer you a meaningful way...Opportunities:** Evolent Health is looking for a Behavioral Health Medical Director to be a… more
- CVS Health (Harrisburg, PA)
- …assisting care management staff as they support of members' physical, behavioral and socioeconomic needs. * Partner closely with the Executive Director of Duals ... Bring your heart to CVS Health . Every one of us at CVS ... care and social determinant needs. The Duals Care Management (CM) Medical Director will participate in designing, developing… more
